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General NPI Number Information
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NPI Number | 1659462042
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Entity Type | Organization
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Legal Business Name | ROGERS CLINIC OF CHIROPRACTIC REHABILITATION PLLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 12820 HILLCREST RD STE C205
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City | DALLAS
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State | TX
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Zip | 75230-1526
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Country | US
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Telephone | 214-691-2266
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Fax | 214-691-2266
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Provider Business Mailing Address
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Address Line | 12820 HILLCREST RD # C306
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City | DALLAS
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State | TX
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Zip | 75230-1526
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Country | US
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Telephone | 214-691-2266
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Fax | 214-691-2266
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Authorized Official
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Title or Position | OWNER/ CHIROPRACTOR
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Name | CHRISTOPHER B ROGERS
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Credential |
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Telephone | 214-691-2266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1114247
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 9201
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License Number State | TX
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